Table Rock Family Medicine

LBN: Table Rock Family Medicine
Table Rock Family Medicine is an health care organization with primary practice located at 301 Linville Street , Glen Alpine NC 28628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Table Rock Family Medicine can be contacted via phone (828) 584-2481, or through Justice, Laura B via phone (828) 584-7258.

Contact Information

Primary practice address
301 Linville Street Glen Alpine NC 28628
Phone: (828) 584-2481
Fax: (828) 584-8371
Website:
Map and Directions
Authorized official contact:
Name: Justice, Laura B
Phone: (828) 584-7258

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 90044 North Carolina

Profile Details

NPI number 1558328781
LBN Legal business name Table Rock Family Medicine
DBA Doing business as
Authorized official Justice, Laura B
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558328781 NPPES
North Carolina MEDICAID 89011WW

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